Mataluni, Erica Marie

Mataluni, Erica Marie is an individual health care provider with primary practice located at 220 Grand Regency Blvd , Brandon FL 33510-3935. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mataluni, Erica Marie can be contacted via phone (317) 520-8200.

Contact Information

Primary practice address
220 Grand Regency Blvd Brandon FL 33510-3935
Phone: (317) 520-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1861711988
LBN Legal business name Mataluni, Erica Marie
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Apr 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861711988 NPPES
Florida MEDICAID 017798800

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